Active NPI
Gatlin Loken
- Physical Therapy Assistant
- Lafayette, CO
National Provider Identifier
1790372787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA.0014912
- Practice address
- 329 Exempla Cir
Lafayette, CO 80026-3482 - Phone
- (720) 639-2200
- NPI assigned
- Dec 24, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA.0014912 | CO | Primary |
Addresses
Primary practice location
329 Exempla Cir
Lafayette, CO 80026-3482
Mailing address
8202 Sheridan Blvd Apt 2012
Westminster, CO 80003-6124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA.0014912 | CO | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608768000000",
"number": "1790372787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8202 SHERIDAN BLVD APT 2012",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800036124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 EXEMPLA CIR",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800263482",
"telephone_number": "720-639-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOKEN",
"first_name": "GATLIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-24",
"last_updated": "2020-12-24",
"certification_date": "2020-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CO",
"license": "PTA.0014912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.